The tiers are not cumulative and each individual GP can only qualify for 1 tier per reference period.

Tier

Activity required for payment

Tier 1

$1,000 per procedural GP per 6 month reference period

A GP must provide at least 1 of the following procedural services in the 6 month reference period:

obstetric delivery

general anaesthetic

major regional blocks

abdominal surgery

gynaecological surgery requiring general anaesthetic, and

endoscopy

Tier 2

$2,000 per procedural GP per 6 month reference period

A GP must:

meet the Tier 1 requirements, and

provide after hours procedural services on a regular or rostered basis - 15 hours per week on average, either on call or on a roster, throughout the entire 6 month reference period, except for the first reference period when they apply.

Tier 3

$5,000 per procedural GP per 6 month reference period

A GP must:

meet the Tier 2 requirements, and

provide 25 or more eligible surgical, anaesthetic, or obstetric services in the 6 month reference period

Tier 4

$8,500 per procedural GP per 6 month reference period

A GP must:

meet the Tier 2 requirements, and

deliver 10 or more babies in the 6 month reference period

If a sole GP in a community delivers less than 10 babies, but meets the obstetric needs of the community, the practice may qualify for a Tier 4 payment.

The practice will need to show that it is delivering all the babies in the community to be eligible for this payment.

Practices with more than 1 GP can’t combine the number of deliveries in the practice to qualify for this tier.

Practices with exceptional circumstances should contact us. We will consider their circumstances on a case by case basis.

Limits

There is no limit to the number of procedural GPs who can generate payments for a practice. However, to be eligible for a payment, GPs must:

individually meet the requirements of the tier, and

be at the practice at the point in time date before the payment month

Practices with more than 1 GP performing procedural services can’t combine the number of services to receive a payment.

GP’s who perform procedural services at more than 1 PIP practice must tell us which practice the payment should go to, they can’t claim procedural services for more than 1 practice at a time.